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Individual

KELLY E. VENEZIA CRILLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC, NCC

Contact information

Practice address
860 WYCKOFF AVE STE 206&305, MAHWAH, NJ 07430-3186
(551) 319-2029
Mailing address
29 HIBERNIA RD, ROCKAWAY, NJ 07866-1824
(862) 377-4172

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00614600
NJ
101YS0200X
School Counselor
1086514
NJ

Other

Enumeration date
12/30/2021
Last updated
12/30/2021
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